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CITY OF ORONO PERMIT NO.: 2oos-000�� <br /> ., 2750 KELLEY PARKWAY <br /> � � ORONO,MN 55356- DATE ISSUED: 07/28/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2525 KELLY AVE <br /> PIN : 20-117-23-11-0022 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 001 BLOCK 005 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 9,475.00 <br /> NOTE: REPLACE TWO WINDOWS INTO EXISTING OPENINGS-NO STRUCTURAL CHANGES. <br /> APPLICANT pERMIT FEE SCHEDULE 191.75 <br /> SCHERER BROS LUMBER STATE SURCHARGE(VALUATION) 4.74 <br /> 10751 EXCELSIOR BLVD <br /> HOPKINS,MN 55343 MAIL-IN FEE 1.50 <br /> (952)277-1600 TOTAL 19'7.99 <br /> Minnesota State License#:20239369 <br /> OWNER <br /> HEIMBACH,K&R <br /> 2525 KELLY AVE <br /> EXCELSIOR,MN 55331 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires sepazate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The app►icant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> i i 7 i a8"i DC� <br /> Applicant Permitee Signature Date Issu y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESC ED ABOVE. <br />